Association between physical activity and musculoskeletal pain: an analysis of international data from the ASAP survey

  • Objectiv:e To explore the association of physical activity (PA) with musculoskeletal pain (MSK pain). Design: Cross-sectional study Setting: 14 countries (Argentina, Australia, Austria, Brazil, Chile, France, Germany, Italy, the Netherlands, Singapore, South Africa, Spain, Switzerland and the USA). Participants: Individuals aged 18 or older. Primary and secondary outcome measures: PA volumes were assessed with an adapted version of the Nordic Physical Activity Questionnaire-short. Prevalence of MSK pain was captured by means of a 20-item checklist of body locations. Based on the WHO recommendation on PA, participants were classified as non-compliers (0–150 min/week), compliers (150–300 min/week), double compliers (300–450 min/week), triple compliers (450–600 min/week), quadruple compliers (600–750 min/week), quintuple compliers (750–900 min/week) and top compliers (more than 900 min/week). Multivariate logistic regression was used to obtain adjusted ORs of the association between PA and MSK pain for each body location, correcting for age, sex, employment status and depression risk. Results: A total of 13 741 participants completed the survey. Compared with non-compliers, compliers had smaller odds of MSK pain in one location (thoracic pain, OR 0.77, 95% CI 0.64 to 0.93). Double compliance was associated with reduced pain occurrence in six locations (elbow, OR 0.70, 95% CI 0.50 to 0.98; forearm, OR 0.63, 95% CI 0.40 to 0.99; wrist, OR 0.74, 95% CI 0.57 to 0.98; hand, OR 0.57, 95% CI 0.40 to 0.79; fingers, OR 0.72, 95% CI 0.52 to 0.99; abdomen, OR 0.61, 95% CI 0.41 to 0.91). Triple to top compliance was also linked with lower odds of MSK pain (five locations in triple compliance, three in quadruple compliance, two in quintuple compliance, three in top compliance), but, at the same time, presented increased odds of MSK pain in some of the other locations. Conclusion: A dose of 300–450 min WHO-equivalent PA/week was associated with lower odds of MSK pain in six body locations. On the other hand, excessive doses of PA were associated with higher odds of pain in certain body locations.
Metadaten
Author:Hye Chang RhimORCiD, Adam TenfordeORCiD, Lisa MohrORCiD, Karsten Peter HollanderORCiDGND, Lutz VogtGND, Jan David Alexander GronebergORCiDGND, Jan WilkeORCiDGND
URN:urn:nbn:de:hebis:30:3-630248
DOI:https://doi.org/10.1136/bmjopen-2021-059525
ISSN:2044-6055
Parent Title (English):BMJ open
Publisher:BMJ Publishing Group
Place of publication:London
Document Type:Article
Language:English
Date of Publication (online):2022/09/19
Date of first Publication:2022/09/19
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2024/08/28
Volume:12.2021
Issue:9, art. e059525
Article Number:e059525
Page Number:8
First Page:1
Last Page:8
Note:
Gefördert durch den Open-Access-Publikationsfonds der Goethe-Universität
HeBIS-PPN:521202035
Institutes:Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Open-Access-Publikationsfonds:Medizin
Licence (German):License LogoCreative Commons - CC BY-NC - Namensnennung - Nicht kommerziell 4.0 International